| NPI | 1538409743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011902A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3007945) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2021-11-22 |